Judith A Pollard is a Clinical in Fond Du Lac, Wisconsin. Judith A Pollard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judith A Pollard is 1649346438. The last update date is 2007-07-08.
Judith A Pollard's current location address is 551 W Johnson St, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209070097 and fax number 9209070109. The mailing address for Judith A Pollard is 551 W Johnson St, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith A Pollard |
|---|---|
| Address | 551 W Johnson St, Fond Du Lac, Wisconsin |
| Phone Number | 9209070097 |
| Fax Number | 9209070109 |
| Sole Proprietor | N |
| Credentials | MSW LCSW |
NPI Number Detail
| NPI Number | 1649346438 |
|---|---|
| Provider Enumeration Date | 2006-11-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 551 W Johnson St |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 54935 |
| Phone Number | 9209070097 |
| Fax Number | 9209070109 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2932 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39675100 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Judith A Pollard by the Centers for Medicare & Medicaid Services?
The Judith A Pollard has been assigned the NPI (National Provider Identifier) 1649346438 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Judith A Pollard located?
The Judith A Pollard is located at 551 W Johnson St, Fond Du Lac, WI 54935.
What is Judith A Pollard's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Judith A Pollard's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1649346438 to Judith A Pollard?
The Judith A Pollard received its 1649346438 assignment from the Centers for Medicare & Medicaid Services on 2006-11-27.
When was the information related to Judith A Pollard most recently updated or refreshed?
The details pertaining to the Judith A Pollard, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.